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NPI 1245497866 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Faribault, MN
Provider details
- NPI number
- 1245497866
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Cheryl Glende, Director(507) 334-4346
- License
- 810870-2-WS (MN)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 810870-2-WS (MN)
Residential Treatment Facilities
Practice location
211 Minnesota Pl
Faribault, MN 55021-5346
Phone: (507) 334-4346
Approximate (ZIP-level) locationGet directions
Mailing address
211 Minnesota Pl
Faribault, MN 55021-5346
Registry dates
- Enumerated
- 2008-05-21
- Last updated
- 2008-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.